rosumac asp 20mg/75mg capsule - Rosuvastatin (20mg) + Aspirin (75mg) medicine

Fasrose ASF Capsule: Comprehensive Medicine Guide

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🏭 Macleods Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
🤰 Pregnancy Category Not established from the available information. Both rosuvastatin and aspirin are generally contraindicated during pregnancy. Consult your doctor immediately if you are pregnant or planning pregnancy. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for individual components; combination evidence is based on established use.
Reviewed by
SaathiMed Expert Panel | Oct 22, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in stool or vomit
  • Severe abdominal pain
  • Chest pain or difficulty breathing
  • Severe headache with visual changes
  • Sudden swelling of face, lips, or throat
  • Yellowing of skin or eyes
  • Decreased urine output
  • Unexplained muscle pain or weakness

If experiencing severe symptoms, call emergency services immediately.

What is rosumac asp 20mg/75mg capsule used for?

This medicine is a combination of Rosuvastatin 20 mg and Aspirin 75 mg used to lower cholesterol and prevent blood clots in patients at high risk of cardiovascular events. It is taken orally once daily with food.

  • Generic Name: Rosuvastatin (20mg) + Aspirin (75mg)
  • Manufacturer: Macleods Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 rosumac asp 20mg/75mg capsule के बारे में (Hindi Summary)

उपयोग: यह दवा रोसुवास्टेटिन 20 मिलीग्राम और एस्पिरिन 75 मिलीग्राम का संयोजन है। इसका उपयोग कोलेस्ट्रॉल कम करने और रक्त के थक्के बनने से रोकने के लिए किया जाता है, खासकर उन रोगियों में जिनमें हृदय रोग का खतरा अधिक होता है। यह दवा हृदयाघात और स्ट्रोक के जोखिम को कम करने में मदद करती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में अपच, मतली, पेट दर्द, सिरदर्द, मांसपेशियों में दर्द और आसानी से चोट लगना शामिल हैं। गंभीर दुष्प्रभावों में पेट या आंतों में रक्तस्राव, अल्सर, मांसपेशियों की गंभीर समस्या और लीवर की क्षति शामिल हैं। किसी भी असामान्य लक्षण पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। इसे भोजन के साथ लें ताकि पेट में जलन न हो। शराब का सेवन न करें क्योंकि इससे रक्तस्राव का खतरा बढ़ सकता है। अन्य दवाओं के साथ लेने से पहले डॉक्टर से सलाह लें। नियमित रूप से लीवर और किडनी की जांच करवाएं।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 rosumac asp 20mg/75mg capsule Uses & Benefits

[{"condition":"Secondary prevention of cardiovascular events","description":"Reduces the risk of heart attack, stroke, and cardiovascular death in patients with established atherosclerotic cardiovascular disease.","evidence":"Well-established"},{"condition":"Hypercholesterolemia","description":"Lowers elevated LDL cholesterol and total cholesterol in patients with primary hypercholesterolemia or mixed dyslipidemia.","evidence":"Well-established"},{"condition":"Acute coronary syndrome","description":"Used as part of long-term management after acute coronary syndrome to prevent recurrent events.","evidence":"Well-established"},{"condition":"Peripheral arterial disease","description":"Helps reduce the risk of cardiovascular events in patients with peripheral arterial disease.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Primary prevention in high-risk individuals","description":"Sometimes prescribed off-label for primary prevention in patients with multiple risk factors but no established cardiovascular disease.","evidence":"Limited"},{"condition":"Diabetic dyslipidemia","description":"May be used off-label for cardiovascular risk reduction in diabetic patients with dyslipidemia.","evidence":"Moderate"}]

Primary treatment for: Cardiovascular disease prevention

Also treats: Hypercholesterolemia, Atherosclerosis, Acute coronary syndrome, Peripheral arterial disease

📋 Drug Information

Generic Name(s)Rosuvastatin (20mg) + Aspirin (75mg)
Brand Namerosumac asp 20mg/75mg capsule
ManufacturerMacleods Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassCARDIAC
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food to reduce stomach upset.
2
Do not crush or chew the capsule; swallow it whole.
3
Avoid alcohol while taking this medicine to prevent bleeding and liver issues.
4
Report any unusual bleeding, bruising, or muscle pain immediately.
5
Regular monitoring of liver function, kidney function, and lipid profile is essential.
6
Do not stop this medicine without consulting your doctor.
7
Inform your dentist or surgeon about this medicine before any procedure.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
High cholesterol
This medicine is commonly prescribed for this.
Likely Use
✅
History of heart attack
Used for secondary prevention.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionRosuvastatin is absorbed from the gastrointestinal tract, with peak plasma concentration reached in 3-5 hours. Aspirin is rapidly absorbed from the stomach and upper intestine, with peak levels in 0.5-2 hours for immediate-release formulations.
DistributionRosuvastatin has a large volume of distribution (approximately 134 L) and is taken up by the liver via organic anion transporting polypeptide 1B1. Aspirin is widely distributed throughout body tissues and crosses the placenta.
Protein BindingRosuvastatin is approximately 88% bound to plasma proteins, primarily albumin. Aspirin is about 80-90% bound to plasma proteins, mainly albumin.
MetabolismRosuvastatin undergoes minimal metabolism, primarily by cytochrome P450 2C9, with some involvement of 2C19 and 3A4. Aspirin is rapidly hydrolyzed to salicylic acid in the liver and gastrointestinal tract.
Half-LifeRosuvastatin has an elimination half-life of approximately 19 hours. Aspirin has a half-life of 15-20 minutes, while its active metabolite salicylate has a half-life of 2-3 hours at low doses and up to 15-30 hours at high doses.
ExcretionRosuvastatin is excreted primarily in feces (90%) as unchanged drug and metabolites, with about 10% excreted in urine. Aspirin metabolites are excreted primarily in urine.
BioavailabilityRosuvastatin has an absolute bioavailability of approximately 20%. Aspirin has a bioavailability of approximately 50-75% due to first-pass metabolism.
Onset of ActionRosuvastatin begins to lower cholesterol within 1 week, with maximum effect in 2-4 weeks. Aspirin's antiplatelet effect begins within 30-60 minutes of ingestion.
Peak Plasma TimeRosuvastatin reaches peak plasma concentration in 3-5 hours. Aspirin reaches peak plasma concentration in 0.5-2 hours.
Duration of ActionRosuvastatin's lipid-lowering effect persists for 2-4 weeks after discontinuation. Aspirin's antiplatelet effect lasts for the lifespan of platelets, approximately 7-10 days.

How It Works

This medicine combines two active ingredients with distinct mechanisms. Rosuvastatin selectively and competitively inhibits HMG-CoA reductase, the enzyme that converts HMG-CoA to mevalonate, a rate-limiting step in cholesterol biosynthesis. This inhibition leads to upregulation of hepatic LDL receptors, increased clearance of LDL cholesterol from the bloodstream, and reduced hepatic cholesterol synthesis. Aspirin acetylates serine residues on cyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2) enzymes, irreversibly inhibiting them. This prevents the conversion of arachidonic acid to prostaglandin H2, thereby reducing thromboxane A2 production in platelets. Thromboxane A2 is a potent vasoconstrictor and platelet aggregator; its reduction leads to decreased platelet aggregation and prolonged bleeding time.

Mechanism Steps

1
Rosuvastatin inhibits HMG-CoA reductase: Rosuvastatin binds competitively to the active site of HMG-CoA reductase, blocking the conversion of HMG-CoA to mevalonate, a critical step in cholesterol synthesis.
2
Upregulation of LDL receptors: Reduced intracellular cholesterol triggers increased expression of LDL receptors on hepatocytes, enhancing clearance of LDL cholesterol from circulation.
3
Aspirin acetylates COX enzymes: Aspirin irreversibly acetylates serine-530 in COX-1 and serine-516 in COX-2, preventing arachidonic acid from binding.
4
Reduced thromboxane A2 synthesis: Inhibition of COX-1 in platelets decreases thromboxane A2 production, leading to reduced platelet aggregation and vasodilation.

💡 How to Take rosumac asp 20mg/75mg capsule

Strength: Capsule containing Rosuvastatin 20 mg and Aspirin 75 mg.

1Swallow the capsule whole with a glass of water.
2Take it at the same time each day, preferably with a meal.
3Do not crush, chew, or open the capsule.
4If you have trouble swallowing, consult your doctor.
5Follow your doctor's instructions exactly.

Dosage Information

Adult DosageThe usual adult dose is one capsule (Rosuvastatin 20 mg + Aspirin 75 mg) taken orally once daily, preferably with food. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and cardiovascular risk. Do not exceed the prescribed dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more susceptible to side effects, especially gastrointestinal bleeding and muscle toxicity. Dose should be individualized by a clinician. Regular monitoring is recommended.
Renal ImpairmentIn patients with renal impairment, rosuvastatin dose should be adjusted. Aspirin should be used with caution. Consult a clinician for individualized dosing.
Hepatic ImpairmentContraindicated in severe hepatic impairment. In mild to moderate hepatic impairment, dose adjustment may be necessary. Consult a clinician.
Maximum Daily DoseThe maximum recommended daily dose is one capsule (Rosuvastatin 20 mg + Aspirin 75 mg). Do not exceed this dose without medical advice.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
Avoid
May increase rosuvastatin levels.
Alcohol
Avoid
Increases risk of bleeding and liver toxicity.

⏰ What to Do If You Miss a Dose

📌 Less than 12 hours have passed since the missed dose
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than 12 hours have passed since the missed dose
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of rosumac asp 20mg/75mg capsule

✅ Common Side Effects

Dyspepsia (Common (5-10%))
Take with food or antacids. Consult doctor if persistent.
Nausea (Common (3-5%))
Take with meals. Usually resolves on its own.
Headache (Common (5-10%))
Stay hydrated. Consult doctor if severe or persistent.
Muscle aches (Common (5-10%))
Report to doctor if severe or associated with weakness.
Easy bruising (Common (5-10%))
Avoid activities that may cause injury. Report unusual bleeding.

🚨 Serious Side Effects

Gastrointestinal bleeding (Rare (<0.1%))
Seek immediate medical attention if you notice black stool, vomiting blood, or severe abdominal pain.
Rhabdomyolysis (Rare (<0.1%))
Report muscle pain, weakness, or dark urine immediately.
Hepatotoxicity (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or right upper abdominal pain.
Severe allergic reaction (Rare (<0.1%))
Seek emergency care for swelling of face, lips, throat, or difficulty breathing.

⚠️ Rare Side Effects

Thrombocytopenia
Report unusual bleeding or bruising.
Interstitial lung disease
Report new or worsening shortness of breath.
Pancreatitis
Seek medical attention for severe abdominal pain radiating to back.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
NSAIDs Major
Cyclosporine Major
Gemfibrozil Major
Clopidogrel Moderate
Methotrexate Moderate
ACE inhibitors Moderate
Antacids Minor
Cimetidine Minor

🚨 Major Interactions

  • Warfarin
  • NSAIDs
  • Cyclosporine
  • Gemfibrozil

⚡ Moderate Interactions

  • Clopidogrel
  • Methotrexate
  • ACE inhibitors

🍷 Alcohol Interaction

Alcohol increases the risk of gastrointestinal bleeding and hepatotoxicity when taken with this medicine. It is advisable to avoid alcohol completely while on this medication.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Active bleeding or bleeding disorders","Aspirin-sensitive asthma","Severe liver disease","Pregnancy and breastfeeding","Hypersensitivity to rosuvastatin or aspirin","Active peptic ulcer disease"]

⚠️ Warnings & Precautions

["Use with caution in patients with history of gastrointestinal ulcers or bleeding.","Avoid in patients with severe renal impairment.","Monitor liver function regularly.","Discontinue if signs of myopathy or rhabdomyolysis occur.","Avoid alcohol consumption.","Use with caution in elderly patients.","Do not use in children without specialist advice."]

🤱 Lactation Safety

Not recommended during breastfeeding. Rosuvastatin and aspirin may pass into breast milk and could harm the infant. Consult your doctor for alternative options.

💊 Overdose Management

Overdose may cause severe gastrointestinal bleeding, liver toxicity, or rhabdomyolysis. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote for rosuvastatin; aspirin overdose may be treated with activated charcoal, gastric lavage, and supportive care.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not crush or chew the capsule; swallow it whole with water. Take it at the same time each day, preferably with food to reduce stomach irritation. Avoid alcohol consumption as it increases the risk of gastrointestinal bleeding and liver problems. Inform your doctor if you have a history of ulcers, bleeding disorders, or liver or kidney disease. Do not start or stop any other medication without consulting your doctor, especially blood thinners, NSAIDs, or other cholesterol-lowering drugs. Regular monitoring of liver function, kidney function, and lipid profile is essential. Report any unusual bleeding, muscle pain, or dark urine immediately.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of gastrointestinal bleeding, muscle toxicity, and renal impairment. Dose should be individualized, and regular monitoring is recommended.

🤰 Pregnancy Planning (TTC)

This medicine is contraindicated during pregnancy and in women planning pregnancy. Consult your doctor for alternative treatments before conception.

🏥 Post-Surgery Considerations

This medicine may increase bleeding risk during and after surgery. Inform your surgeon and stop the medicine as advised before any surgical procedure.

🦷 Dental Procedures

Inform your dentist about this medicine before any dental procedure, as it may increase bleeding risk. Your dentist may recommend stopping aspirin temporarily.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce cardiovascular risk.
🥗
Engage in regular physical activity as advised by your doctor.
😴
Follow a heart-healthy diet low in saturated fats and cholesterol.
💧
Quit smoking and avoid secondhand smoke.
🧘
Manage stress through relaxation techniques.
🌞
Get adequate sleep.

🏋️ Exercise Considerations

Regular exercise is encouraged, but avoid strenuous activities that may cause injury or bleeding. If you experience muscle pain or weakness, stop exercise and consult your doctor.

🥗 Diet Recommendations

Include omega-3 rich foods like fish and flaxseeds.
Reduce intake of processed and fried foods.
Eat plenty of fruits, vegetables, and whole grains.
Limit salt and sugar intake.
Stay well hydrated.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue in some individuals. If affected, avoid driving or operating heavy machinery until you know how it affects you. Otherwise, it generally does not interfere with daily activities.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. If you experience serious side effects like severe bleeding, muscle pain, or liver problems, seek immediate medical advice. Your doctor may adjust or discontinue the medicine based on your condition.

📅 Long-Term Use Effects

Long-term use of this medicine requires regular monitoring of liver function, kidney function, and lipid profile. It may increase the risk of gastrointestinal bleeding and muscle toxicity. Periodic eye exams are recommended for patients on aspirin. Do not stop the medicine without consulting your doctor.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Lifestyle modifications

Diet, exercise, and smoking cessation can complement medicine for cardiovascular risk reduction.

Evidence: Well-established
Other statins

Atorvastatin or simvastatin may be alternatives if rosuvastatin is not tolerated.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are established. However, inform your doctor before any vaccination, especially if you are on other medications.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from moisture. When traveling across time zones, continue taking your dose at the same local time as much as possible. If you miss a dose due to time change, take it as soon as you remember unless it is almost time for the next dose. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 55-year-old man with a history of heart attack
He was prescribed this medicine after suffering a heart attack. He took it regularly with food and quit smoking. Over six months, his cholesterol levels improved significantly, and he did not experience any recurrent cardiac events. He reported mild stomach upset initially, which resolved after taking it with meals.
💡 Lesson: Adherence to prescribed medication and lifestyle changes can significantly reduce cardiovascular risk.
👤 A 62-year-old woman with diabetes and high cholesterol
She was started on this medicine for cardiovascular prevention. She experienced easy bruising but no serious bleeding. Her doctor monitored her liver and kidney function regularly. She was advised to avoid alcohol and NSAIDs. Her lipid profile improved, and she remained free of cardiovascular events.
💡 Lesson: Regular monitoring and avoiding interacting substances are key to safe long-term use.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Rosuvastatin starts lowering cholesterol within 1 week, with maximum effect in 2-4 weeks. Aspirin's antiplatelet effect begins within 30-60 minutes.

Q: Can I take this medicine with other medications?

A: Inform your doctor about all medications you take, as this medicine can interact with many drugs, especially blood thinners and NSAIDs.

Q: What should I do if I miss a dose?

A: If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for rosumac asp 20mg/75mg capsule

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can be taken without a prescription.
    Fact: This medicine is a prescription drug and should only be taken under medical supervision.
  • Myth: I can stop taking this medicine once my cholesterol is normal.
    Fact: Cholesterol levels may rise again if the medicine is stopped. Consult your doctor before stopping.
  • Myth: This medicine can be taken with any other medication.
    Fact: This medicine can interact with many drugs. Always inform your doctor about all medications you take.

🔄 Alternative Options

Generic Alternatives

  • Rosuvastatin 20 mg + Aspirin 75 mg capsule

Brand Alternatives

  • Fasrose ASF Capsule

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Rosuvastatin 20 mg + Aspirin 75 mg","key_difference":"Combines statin and antiplatelet for dual benefit."},{"medicine":"Atorvastatin + Aspirin","composition":"Atorvastatin 10/20 mg + Aspirin 75 mg","key_difference":"Atorvastatin is less potent than rosuvastatin."}]

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